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DEFINITION
CAUSES
The most common causes of congestive heart failure are:
Coronary artery disease
High blood pressure (hypertension)
Longstanding alcohol abuse
Disorders of the disorders of the heart valves
Unknown (idiopathic) causes, such as after recovery from myocarditis
Fatigue,
Diminished exercise capacity,
Shortness of breath, and
Swelling (edema).
TREATMENT
Specific treatment depends upon the underlying cause of heart failure. Treatment
may try to decrease fluid within the body so that the heart does not have to work as
hard to circulate blood through the blood vessels in the body.
DIALOGUE
Doctor: Good morning. Take a seat please. So, who is the patient?
Family: Doctor, it is my mom
Doctor: What is your name?
Patient: My name is Camila
Doctor: What seems to be the trouble?
Family: Lately, my mom have trouble breathing and she seems more tired than
ever
Patient: When I lie down I can't breathe
Doctor: How old are you Camila?
Patient: I am seventy years old
Doctor: What other signs do you have?
Family: I have noticed that my mother has swollen feet for a month ago
Patient: also I have high pressure
Doctor: Please, Camila get up and sit on the stretcher. I am going to examine
you…… Lie on the stretcher please
Patient: Doctor hurts me where you are touching and the pain radiates to here
(pointing)
Family: Mom I have your results and the person who made me said they were not
good
Patient: Daughter, tomorrow you have to get a medical consultation with the doctor
Family: Yes mom. But, what happened to your neck?
Patient: I don't know daughter, I woke up and I felt my neck swollen
Family: Good Morning doctor, here I bring you the results of my mother's studies
Patient: Good Morning doctor
Doctor: Good morning, show me the results please
Patient: Doctor my neck is swollen.
Doctor: Let me see your neck lady (gets up and goes to examine the neck of the
patient)
Familiar: Doctor What does my mother have?
Doctor: Well Camila, I have reviewed the results and the signs and symptoms that
you present more the appearance of jugular regurgitation, my diagnosis is
congestive heart failure
Family: What can I do help my mother?
Doctor: Im going prescription you some medicine, but you must change tour
lifestyle
Patient: Thanks Doctor, I Hope to improve soon
Family: Thanks doctor